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Fractures, Comminuted (0):
Recent article
Fractures, Comminuted
Abstract
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Abstract
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (24)10 2010
[Efficacy of ceramic on ceramic hip prosthesis in young patients undergoing total hip arthroplasty].
Abstract
To investigate the methodology and efficacy evaluation of ceramic on ceramic hip prosthesis in total hip arthroplasty for young patients.
The clinical data from 65 patients (75 hips) who received ceramic on ceramic hip prosthesis for total hip arthroplasty between February 2004 and September 2006, i...
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PMID: 21046803
PDF is available here.
PDF is available here.
Abstract
We evaluate the effectiveness of submuscular plating performed in our institution using this technique, in 11 patients. All fractures united with good alignment. No major complication occurred. In conclusion, submuscular plating of adolescent femoral fractures with precontoured plates is an effectiv...
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PMID: 20562655
PDF is available here.
PDF is available here.
Abstract
162 of 248 bones were fractured. 130 fractures were identified using ultrasound, and 148 using X-ray. There were some advantages of X-ray over ultrasound in the detection of fracture type (80 correct results using X-ray, 66 correct results using ultrasound). Ultrasound, however, was superior to X-ra...
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PMID: 20401819
PDF is available here.
PDF is available here.
Hand Clinics (26)3 2010
Abstract
Radial head arthroplasty remains an encouraging treatment option for comminuted radial head fractures in an unstable elbow or forearm. This article discusses the surgical considerations related to radial head arthroplasty, including anatomy, indications, and surgical technique. Radial head arthropla...
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PMID: 20670805
PDF is available here.
PDF is available here.
Abstract
The importance of dynamisation after static locked nailing in comminuted closed tibial fractures is a matter of contention. A prospective study was undertaken among 178 patients in the department of orthopaedics at RG Kar Medical College, Kolkata from January 2002 to December 2006, to analyse the us...
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PMID: 21121386
PDF is available here.
PDF is available here.
Abstract
The findings of this study support the concept that, for intramedullary nails, the kind of distal interlocking pattern affects the stabilization of distal femoral fractures. Four-screw distal locking provides the highest axial stability and nearly comparable torsional stability to that of the angula...
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PMID: 20516320
PDF is available here.
PDF is available here.
Journal of Trauma (68)5 2010
Abstract
Abstract
The Epibloc system of percutaneous endomedullary internal fixation is best indicated for AO type A2-3 extra-articular fractures of the distal radius and AO type C1 slightly comminuted articular fractures. This system includes pins that can be inserted into the medullary canal and advanced without br...
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PMID: 20417918
PDF is available here.
PDF is available here.
Chirurgie de la Main (29)2 2010
Abstract
We have reviewed 38 patients aged 64.2 on average with a mean follow of 18 months. The functional scores used were the Constant and Murley's score as well as the DASH self-administered quality of life questionnaire. Radiological criteria have been analyzed, namely the cephalic angle noted alphaF and...
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PMID: 20207182
PDF is available here.
PDF is available here.
Chirurgie de la Main (29)2 2010
Abstract
The authors report a case of shoulder bilateral posterior fracture dislocation in a 42-year-old man with osteogenesis imperfecta history. The importance of the communition, the large size of articular surface involved and the poor quality of the bone indicate a bilateral total shoulder arthroplasty....
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PMID: 20117954
PDF is available here.
PDF is available here.
Abstract
Statistical assessment of clinical (PS, WS, VAS at rest and VAS after loading) and radiological findings (the degree of kyphotic changes) at month 18 identified no statistically significant correlations between the two subgroups. TP fixation failures (srews rupturing) occured only in Group A in two...
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PMID: 20586156
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
The mean follow up was 5.04 years (ranged from 3 to 19 years). All the patients were healed. The clinical outcomes were evaluated according to Hawkins evaluation score in which ache, active range of the joint and limp was respectively acssessed. There were 6 patients reached an excellent result, 9 g...
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PMID: 20415086
PDF is available here.
PDF is available here.
Abstract
In conclusion, radial head fractures with 3 or more fragments have a high incidence of complications when treated with ORIF including hardware failure, malunion, nonunion, and the need for re-operation. Radial head arthroplasty has demonstrated good success in the treatment of complex, comminuted ra...
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PMID: 20214854
PDF is available here.
PDF is available here.
Abstract
Traditionally, midshaft clavicular fractures have been treated conservatively. However a review of the literature reveals that certain fractures can benefit from operative repair. Conservative treatment, preferably in the form of a sling, of an undisplaced midshaft clavicular fracture leads to excel...
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PMID: 21083959
PDF is available here.
PDF is available here.
Abstract
The mean DASH score reached 14 points, the modified Gartland/Werley score was 6.9. There was one loss of reduction on radiographic evaluation, which yielded to a dorsal osteosynthesis. Average postoperative radial inclination was 20.5 degrees (16-29 degrees) and the volar tilt 9.3 degrees (3-15 degr...
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PMID: 20135602
PDF is available here.
PDF is available here.
Abstract
60 patients were examined after 6 weeks and 6 months. 40 patients were examined after 1 year. The average age was 56 (range: 16-78 years). In 36% of the cases we found an accompanying injury of the upper extremity that had to be treated operatively. The DASH score improved on average from 47 points...
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PMID: 20135600
PDF is available here.
PDF is available here.
Abstract
We report the first case of bone infarct of the calcaneus 9 months after a fracture. We also review the literature on osteonecrosis of the calcaneus to offer potential mechanisms for bone infarction in the calcaneus after a fracture....
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PMID: 21084916
PDF is available here.
PDF is available here.
Hand Surgery (15)1 2010
Abstract
We hereby report a logistic delayed successful treatment of a complex arm gunshot wound with a free fibula flap. The significance of this case report is related to the necessity of emphasising the organised and multidisciplinary approach required to cure these patients in the proper way from a surgi...
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PMID: 20422725
PDF is available here.
PDF is available here.
Abstract
We undertook a trial with 60 patients who had undergone operative reduction and internal fixation of bimalleolar, AO type B2 ankle fractures with comminution. Patients were randomized into 2 groups, one of which received postoperative treatment using a noninvasive interactive neurostimulation device...
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PMID: 20688546
PDF is available here.
PDF is available here.
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (23)12 2009
Abstract
All the incision healed by first intention. All patients reached anatomical or almost anatomical reduction without complications such as postoperative infection, neurovascular injury, and nonunion of bone. Seventy patients were followed up for 9-20 months (average 11.5 months). The healing time of t...
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PMID: 20073306
PDF is available here.
PDF is available here.
Abstract
The wound of all the cases was primary healing. All patients were followed-up for over 12 months, the sings and symptoms of all the patients were improved very well. There was significant difference between, before and after operation on Constant's scoring. While there was not significant difference...
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PMID: 20084937
PDF is available here.
PDF is available here.
Abstract
Abstract
Of the 211 fractures, 104 (49.3%) were type-A fractures, 12 (5.7%) were type-B fractures and 95 (45.0%) were type-C fractures. The 3 treatments maintained the reduction obtained at surgery until healing. The CRPP and ORIF treatments failed to maintain correction in ulnar variance for the 6-week peri...
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PMID: 19865547
PDF is available here.
PDF is available here.
Abstract
Abstract
We report a case of a 52-year-old worker who fell from a height, suffering lower limb injuries, including a Hoffa fracture with comminution, and had problems with malunion during the postoperative period. Clinicians should be aware that rehabilitation programmes need to be tailored to the method of...
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PMID: 19801698
PDF is available here.
PDF is available here.
Abstract
All of the patients in the series were followed up for a mean 14 months. Local kyphosis improved a mean 10.8 (p<0.001). Vertebral body height was also substantially restored, with a mean gain of 26% according to the anterior height/adjacent height ratio and 28% according to the Beck Index (p<0.001)....
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PMID: 19640824
PDF is available here.
PDF is available here.
Abstract
We report the case of an 85-year-old female presenting with an intertrochanteric fracture, treated by anterograde (cephalocondylic) intramedullary nailing (Stryker gamma 3 nail) and complicated by a superficial femoral artery laceration at the level of the distal locking screw. Lower limb traction i...
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PMID: 19595659
PDF is available here.
PDF is available here.
Abstract
We retrospectively assessed the results achieved in 40 patients with a mean age of 36 years who were treated with biological plating using a Dynamic Condylar Screw for comminuted subtrochanteric femoral fractures between January 2004 to May 2007. Union was achieved in all cases at a mean of 15.6 wee...
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PMID: 19774817
PDF is available here.
PDF is available here.
Zentralblatt für Chirurgie (134)4 2009
Abstract
Abstract
Abstract
Abstract
Journal of Trauma (67)1 2009
Abstract
Abstract
I nasoethmoid fracture, with internal impaction of the external cartilaginous nose. This technique allows primary skin closure and obviates the need for external metal-work and the attendant potential complications....
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PMID: 19622261
PDF is available here.
PDF is available here.
Abstract
Forty-eight patients were followed up for 1-24 months with an average of 12 months. All the fractures were united. According to Johner-Wruhs standard to value the result by factors of pain, deformity, motion range of joint,with or without injury of nerve and blood vessel. Thirty-eight cases obtained...
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PMID: 19705729
PDF is available here.
PDF is available here.
Abstract
We inspected articular step-off, cartilage loss, and joint surface irregularities. Cartilage irregularities were observed in 13 of the 18 patients. Five patients had well-healed cartilage at the patellar surface. Although none of the patients had displacement at final follow-up X-rays, step-off was...
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PMID: 18414856
PDF is available here.
PDF is available here.
Abstract
Ninety-eight pilon fractures associated with ipsilateral distal fibular fracture were included in this study. The pilon fractures were treated by open reduction and plating. The 98 fractures were divided into three groups based on the treatment method of fractured fibula. Group A was composed of 50...
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PMID: 18931843
PDF is available here.
PDF is available here.
Abstract
We present an alternative technique of radiolunate fusion for the management of posttraumatic arthritis, which combines the traditional procedure with a corticocancellous autograft, created from the dorsal side of the radius that slides over the bones to be fused. That procedure provides the best en...
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PMID: 19516134
PDF is available here.
PDF is available here.
Abstract
We have used the missing K-wire technique to fix the small articular fragments....
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PMID: 19516132
PDF is available here.
PDF is available here.
Abstract
We report an unusual pattern of a peri and intra-articular knee fracture following ACL reconstruction. The pattern of injury was opposite to the graft tunnels which contradicts the well established iatrogenic stress riser theory which has been extensively described in the literature. The fractures w...
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PMID: 19099291
PDF is available here.
PDF is available here.
Abstract
The mean follow-up was 90.2+/-29.9 (39-193) months. The mean LLD was 12.3+/-15.2 [12-(-60)] mm using orthoroentgenography and 12.9+/-13.7 [10-(-60)] mm according to manual measurement. In seven cases, no LLD was observed. Twenty-seven shortenings and one lengthening were observed in the 28 femurs wi...
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PMID: 19562548
PDF is available here.
PDF is available here.
Abstract
All the fractures except in 1 patient with Mason type III had united. The mean range of motion of the elbow was 20 degrees to 145 degrees with 71.9 degrees of pronation and 83.2 degrees of supination. According to Broberg and Morrey criteria, the outcome was excellent in 8, good in 4, fair in 1 and...
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PMID: 19562547
PDF is available here.
PDF is available here.
La Chirurgia degli Organi di Movimento (93 Suppl 1) 2009
Abstract
Periprosthetic fractures represent a severe complication after joint replacement. A case of comminuted displaced humeral fracture around the stem of a SMR reverse shoulder prosthesis is reported. The patient was a 81-year-old lady who had had a total shoulder replacement 28 months previously. The su...
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PMID: 19711175
PDF is available here.
PDF is available here.
Georgian medical news ()168 2009
Abstract
The concept of stable-rigid osteosynthesis developed by AO ASIF was subjected to basical changes recently, with regard to the treatment strategy of multifragmental extra-articular fractures. The principle of biological osteosynthesis was worked out, which, in contrast to AO original concept, implies...
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PMID: 19359712
PDF is available here.
PDF is available here.
Abstract
We introduce our technique used in the management of 7 cases, which were treated by our dynamic external fixation. The results were found to be promising, with an excellent range of motion and power grip postoperative. The joints spaces were restored. No patients in our series developed arthritic ch...
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PMID: 19276920
PDF is available here.
PDF is available here.
Abstract
The combined use of autogenous calvarial bone and Tisseel is suitable for frontal sinus obliteration. Our technique is associated with low donor site morbidity, avoids a separate donor surgical site, and has a low complication rate....
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PMID: 19276815
PDF is available here.
PDF is available here.
Abstract
Neer 3- and 4-part proximal humeral fractures in older patients with initial varus angulation of the humeral head had a significantly worse clinical outcome and higher complication rate than similar fracture patterns with initial valgus angulation. Two factors had significant influence on final outc...
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PMID: 19169103
PDF is available here.
PDF is available here.
Abstract
All patients were followed up for 8 to 24 months (mean 15 months) and obtained complete bone union. No case of implant was loosening and fragment displacement, traumatic arthritis occured in 2 cases. Under Lysholm & Gillquist score, the results were excellent in 17 cases, good in 19, fair in 2. CONC...
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PMID: 19281026
PDF is available here.
PDF is available here.
Abstract
All fourteen patients were seen at clinics. The mean duration of follow up was 9.5 months [+/- 6 S.D.] with a range of 1 month to 20 months of follow up. DISCUSSION: In our study we have shown that the reverse total shoulder replacement is a successful surgery, the mean improvement in the outcome sc...
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PMID: 19954099
PDF is available here.
PDF is available here.
Abstract
Comminuted intra-articular fractures of distal radius should be treated by open reduction and combined internal and external fixation to achieve a high rate of patient satisfaction and satisfactory functional outcome....
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PMID: 20502076
PDF is available here.
PDF is available here.
Abstract
Complicated mandibular fractures were recognised in one foal, one pony and four horses. The foal was two months old while the adult animals ranged in age from 12 to 24 years. Three horses had a unilateral horizontal ramus fracture. Two fractures were open and one was closed. Comminution was present...
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PMID: 19151871
PDF is available here.
PDF is available here.
Abstract
The management of comminuted tibial fractures is a challenging problem in small animal orthopedics. External skeletal fixators with Maynard clamps and Schanz pins are commonly used for the osteosynthesis of such fractures. The aim of this study was to perform a clinical assessment of Schanz pins wit...
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PMID: 19645361
PDF is available here.
PDF is available here.
Abstract
We analyzed 18 patients (16 women and 2 men, aged 69- 93-years-old (mean 83.3 years) treated in our Department in 2007 with cemented hemiathroplasty due to comminuted trochanteric fractures. Patients were intensively rehabilitated bearing their body weights from 3rd-5th, and consequently discharged...
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PMID: 20201331
PDF is available here.
PDF is available here.
Abstract
Nasal bone fracture is the most common type of facial bone fracture. Although these injuries often do not seem to be severe, undertreatment of nasal trauma could lead to significant long-term problems. The postreduction incidence of nasal deformities requiring subsequent rhinoplasty or septorhinopla...
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PMID: 19164988
PDF is available here.
PDF is available here.
Abstract
Analysed herein are the outcomes of treating a total of 96 patients with closed comminuted fractures of crural bones. By the duration of antithrombotic prevention, the patients were subdivided into two groups: the Comparison Group comprising 45 patients with a brief course of anticoagulant treatment...
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PMID: 19791578
PDF is available here.
PDF is available here.